CAJ | 학술논문

目的探讨结膜瓣遮盖术治疗难治性角膜溃疡的临床疗效.方法回顾性分析2010年1月至2013年2月期间梅州市人民医院眼科应用结膜瓣遮盖术治疗19例难治性角膜溃疡患者的病例资料.结果 19例患者均成功完成手术,角膜溃疡区均得到成功修补,17例一次手术溃疡愈合,1例二次结膜瓣遮盖术后溃疡愈合,1例多次结膜瓣遮盖术后治疗失败;术后3个月18眼结膜瓣变薄,并逐渐成为透明状,血管数量减少,与角膜融为一体.术后3个月17例视力均有不同程度改善.结论结膜瓣遮盖术操作简单,并发症少,不受羊膜与角膜等材料的限制,对于难治性角膜溃疡不仅能够促进溃疡愈合,挽救眼球,还可部分恢复视力,为进一步的角膜移植打下良好的基础.
목적 탐토결막판차개술치료난치성각막궤양적림상료효.방법 회고성분석2010년1월지2013년2월기간매주시인민의원안과응용결막판차개술치료19례난치성각막궤양환자적병례자료.결과 19례환자균성공완성수술,각막궤양구균득도성공수보,17례일차수술궤양유합,1례이차결막판차개술후궤양유합,1례다차결막판차개술후치료실패;술후3개월18안결막판변박,병축점성위투명상,혈관수량감소,여각막융위일체.술후3개월17례시력균유불동정도개선.결론 결막판차개술조작간단,병발증소,불수양막여각막등재료적한제,대우난치성각막궤양불부능구촉진궤양유합,만구안구,환가부분회복시력,위진일보적각막이식타하량호적기출.
Objective To investigate the clinical effect of conjunctival flap surgery on refractory corneal ulcer.Methods A retrospective analysis was done on the 19 cases of refractory corneal ulcer who underwent conjunctival flap surgery between January 2010 and February 2013 in Meizhou people's hospital.Results The operation was successfully completed for all of the 19 patients,17 cases were cured after one time of surgery and 1 case was cured after two times of surgery,1 case was failed after several times of conjunctival flap surgery; conjunctival flap in 18 cases was thinning,became transparent gradually,the number of blood vessels reduced and fused together with cornea three months after surgery.Visual acuity of 17 cases improved in different degrees.Conclusions Conjunctival flap surgery has the advantages of simple operation,less complications,without amniotic membrane or corneal material limitations,and it can not only promote the healing of ulcer,save the eye,but also restore the vision partially,and it has a good basis for further corneal transplantation.